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Flashcards in Random Topics Deck (46)
1

Condition that causes leukopenia, specifically neutropenia

Felty syndrome as a part of Rheumatoid Arthritis

2

Anxiety causing hyperventilation leading to respiratory alkalosis can cause symptoms such as

"stocking glove paresthesia", numbness/tingling in hands/feet, may cause

Treatment: calm patient, correct hyperventilation

3

When calculating total body surface area of burns, you do not include:

First degree burns

4

When a patient is exposed to tetanus, you must treat with:

Tetanus Immune Globulin (TIG) 250 U for immediate danger and Tdap 0.5 cc for long term coverage
Td booster every 10 years

5

Recent head injury, with low urine specific gravity ~1.000, and normal glucose reveals a diagnosis of:

Diabetes Insipidus

6

Cause of hyponatremia, hyperkalemia, low glucose is a constellation of what disorder:

adrenocorticol insufficience

7

An important complication of inadequately treated hyponatremia would be:

cerebral edema

8

Milk-alkali syndrome is caused by:

use of antacids for osteoporosis leading to hypercalcemic nephropathy. Symptoms include constipation, polyuria, and hypercalcemia.
First line treatment: stop antacids

9

Non-Hodgkins lymphoma characteristic

Painless lymphadenopathy

10

What type of cells are present in Hodgkins lymphoma?

Reed-sternberg cells

11

What is present in myeloblastic leukemia that is not present in lymphoblastic leukemia?

Philadelphia chromosomes

12

Treatment of Uremia-induced coagulopathy

DDAVP

13

Disseminated intravascular coagulation S/S

bleeding or clotting

hemostasis disturbances, easy bruising and petechiae on mucosal membranes

thrombocytopenia, hypofibrinogenemia, decreased RBC, increased fibrin degradation, prolonged PT and PTT

Infection and sepsis predispose to DIC

14

Diagnosis of sickle cell anemia

Hgb electrophoresis

Sickledex can identify sickle cell trait/anemia, but does not differentiate between the two

15

When to transition a DKA patient from IV insulin to SSI

When glucose 15
venous pH >7.3

16

Instrumental ADLs include

Activities that people do once they are up, dressed, put together. These tasks support an independent life style. Many people can still live independently even though they need help with one or two of these IADL’s. Including:
cooking
driving
using the telephone or computer
shopping
keeping track of finances
managing medication

17

ADLs

Activities of daily living are the tasks that are required to get going in the morning:
-walking
-bathing
-dressing
-toileting
-brushing teeth
-eating

18

Type of Dialysis that does not remove toxins from the blood

Dry ultrafiltration

19

Indications to Change anti-retroviral therapy in AIDS

-- Decrease in 25% of CD4 count despite 6 months of therapy
-- Viral Load increase or above 10K despite treatment therapy for last 6 months
-- Opportunistic Infection

20

Goal of HIV therapy

Immune Reconstitution

21

Immune Reconstitution Inflammatory Syndrome (IRIS) or Immune Recovery Syndrome

The immune system begins to recover, but then responds to a previously acquired opportunistic infection with an overwhelming inflammatory response that paradoxically makes the symptoms of infection worse

At risk: AIDS patients, first HAART therapy (typically 1-3 months after the start)

Most common pathogens: M. tuberculosis and Cryptococcal meningitis; MAY DELAY TREATMENT WITH THESE ORGANISMS DUE TO INCIDENCE OF IRIS

Make sure this is not just a bad infection

Treatment- supportive and treat underlying infection

22

Self-Management must include

-- Basic information about their disease
-- Understanding of an assistance with self-management skill building
-- Ongoing support from members of the practice team, family, friends, and community

Includes: medical, role, and emotional management
NOT FINANCIAL

23

Six Sigma

Quality improvement plan characterized by limiting variability and removing defects in a process

24

Complementary therapy included in TPN to reduce length of stay

Fish Oil (Put in Lipids)

25

Conivaptan in SIADH mechanism of action

Vasopressin receptor antagonist

26

High pressure alarm after intubation can mean

Main stem intubation

27

Absence of physiologic cup can mean

increased ICP

28

COBRA insurance

allows people to keep health insurance after leaving employment

Loss of coverage due to non-payment or termination due to misconduct

Divorced spouse can still receive benefits

29

Most common place for elder abuse

community dwelling elders >65

30

Balance assessment test

Tinetti test

31

Greatest barrier to adherence of HIV meds

Tolerance

32

What does not designate a decision maker

Living Will

Durable POA, health care proxy, and guardianship all designate a decision maker

33

Highest suspicion for opiate seeking behavior if patient

states an allergy to NSAIDs

34

Most important factor in evaluation of a seizure

is eyewitness of the event

35

Normal age related changes

temporal wasting, thinning hair, dry hyperpigmented skin

36

Most successful teaching strategy for smoking cessation is

explaining how smoking increases risk of MI

37

When to get a Neph consult

when renal replacement anticipated in 1 year

38

Evidence-based literature does not need

to include outcomes of control/intervention

39

All adults screened for depression

if systems in place for treatment and follow-up

40

Acupuncture has

demonstrated utility in post-op pain management

41

Leading causes of death in US

1. Heart Disease
2. Cancer
3. Chronic lower respiratory disorders
4. Accidents
5. Stroke

42

Safest way to prescribe

electronic prescribing

43

Elements of informed consent

know procedure
know risks/benefits
know alternatives

44

Restraints for the elderly due to what act

Omnibus Reconciliation Act

45

Best driving evaluation in the elderly

Clock drawing test and rail making test

Testing performance and cognition

46

Pulmonary HTN indices

RV dilation
increased hillier/thoracic ratio
RV hypertrophy
R wave: S wave ratio 1 in v1